Individual
BRENDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5136 NICHOLAS CT, BROWNSVILLE, TX 78521-5471
(956) 466-9335
Mailing address
5136 NICHOLAS CT, BROWNSVILLE, TX 78521-5471
(956) 466-9335
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
TX
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
TX
Other
Enumeration date
04/21/2025
Last updated
05/10/2025
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